Individual provider Active NPI

Salaam Sallaam, M.D

  • Pediatric Cardiology Physician
  • Seattle, WA
National Provider Identifier
1417187683
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
60585583 Issued in WA
Practice address
4800 Sand Point Way NE
Seattle, WA 98105
Phone
(206) 987-2000
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301093877 MI
Pediatric Cardiology Physician 2080P0202X 60585583 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE
Seattle, WA 98105

Mailing address

3737 Beaubien St Apt 707
Detroit, MI 48201-2152
Phone (773) 968-3726

Other practice location 1

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5427

Other practice location 2

900 Stevens Dr Ste 204
Richland, WA 99352-3536
Phone (509) 946-5361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007003268 WA Practitioner - Pediatric Medicine 1658692173 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301093877MIMDPediatrics Physician
60585583WAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital Current Accepting new patients
Seattle Children's Hospital CurrentSince Oct 30, 2015 Accepting new patients
Seattle Childrens Hospital CurrentSince Oct 30, 2015 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jan 25, 2026 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 19, 2015 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 19, 2015 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jan 25, 2026 Accepting new patients
Seattle Children's Hospital Past Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

900 Stevens Dr
Ste 204
Richland, WA 99352
Phone (509) 946-0976

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

Interoperability endpoints

  • Direct secure messaging: ssallaam299635@direct.hfhs.org
  • Direct secure messaging: ssallaam18471@direct.seattlechildrens.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1417187683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 BEAUBIEN ST APT 707",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012152",
            "telephone_number": "773-968-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-987-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Beaubien St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012119",
            "country_code": "US",
            "telephone_number": "313-745-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Stevens Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523536",
            "country_code": "US",
            "telephone_number": "509-946-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLAAM",
        "first_name": "SALAAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301093877",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WA",
            "license": "60585583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.